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<body>
c311客戶一覽表
<hr />
<p>新增/編輯表單<br />
建單人員：{user_office}：{user_id}：{user_name}</p>
<table width="100%" border="1" cellspacing="0" cellpadding="0">
  <tr>
    <td width="21%">客戶編號*</td>
    <td width="39%"><label for="goods_no"></label>
      <label for="customer_id"></label>
    <input name="customer_id" type="text" id="customer_id" size="15" /></td>
    <td width="1%">&nbsp;</td>
    <td width="21%">&nbsp;</td>
    <td width="29%">&nbsp;</td>
  </tr>
  <tr>
    <td>客戶名稱*</td>
    <td><input name="customer_name" type="text" id="customer_name" size="15" /></td>
    <td>&nbsp;</td>
    <td>身分證字號*</td>
    <td><input name="customer_idno" type="text" id="customer_idno" size="15" /></td>
  </tr>
  <tr>
    <td>性別*</td>
    <td><input type="radio" name="radio" id="customer_sex2" value="customer_sex" />
      Female
      <input type="radio" name="radio" id="customer_sex3" value="customer_sex" />
      <label for="customer_sex3">Male</label></td>
    <td>&nbsp;</td>
    <td>出生年月日*</td>
    <td>
    <label for="customer_birthdate_year"></label>西元
    <input name="customer_birthdate_year" type="text" id="customer_birthdate_year" size="4" />
    年
    <label for="customer_birthdate_month"></label>
    <input name="customer_birthdate_month" type="text" id="customer_birthdate_month" size="2" />
    月
    <label for="customer_birthdate_day"></label>
    <input name="customer_birthdate_day" type="text" id="customer_birthdate_day" size="2" />
    日</td>
  </tr>
  <tr>
    <td>連絡電話*</td>
    <td><input name="customer_tel" type="text" id="customer_tel" size="15" /></td>
    <td>&nbsp;</td>
    <td>傳真電話</td>
    <td><input name="customer_fax" type="text" id="customer_fax" size="15" /></td>
  </tr>
  <tr>
    <td>行動電話</td>
    <td><input name="customer_cell" type="text" id="customer_cell" size="15" /></td>
    <td>&nbsp;</td>
    <td>電子郵件</td>
    <td><input name="customer_email" type="text" id="customer_email" size="30" /></td>
  </tr>
  <tr>
    <td>通訊地址*</td>
    <td><input name="customer_address" type="text" id="customer_address" size="45" /></td>
    <td>&nbsp;</td>
    <td>收貨地址</td>
    <td><input name="customer_shipping_address" type="text" id="customer_shipping_address" size="45" /></td>
  </tr>
  <tr>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td width="21%">行業別*</td>
    <td width="39%"><input type="radio" name="customer_job" id="military" value="軍人" />
    <label for="military">軍人
      <input type="radio" name="customer_job" id="military2" value="公務員" />
      公務員
      <input type="radio" name="customer_job" id="military3" value="教育人員" />
      教育人員<br />
      <input type="radio" name="customer_job" id="military4" value="科技業" />
      科技業
      <input type="radio" name="customer_job" id="military5" value="服務業" />
      服務業
      <input type="radio" name="customer_job" id="military6" value="金融業" />
      金融業<br />
      <input type="radio" name="customer_job" id="military11" value="傳播業" />
      傳播業
      <input type="radio" name="customer_job" id="military12" value="工業" />
      工業
      <input type="radio" name="customer_job" id="military13" value="保險業" />
      保險業
      <br />
      <input type="radio" name="customer_job" id="military7" value="商業" />
      商業
      <input type="radio" name="customer_job" id="military8" value="自營" />
      自營
      <input type="radio" name="customer_job" id="military9" value="家管" />
      家管
      <input type="radio" name="customer_job" id="military10" value="學生" />
      學生<br />
      <input type="radio" name="customer_job" id="military14" value="其他" />
      其他
    </label></td>
    <td>&nbsp;</td>
    <td>如何知道本公司*</td>
    <td><input name="customer_know_us" type="checkbox" id="customer_know_us" value="部落格" />
部落格
<input name="customer_know_us" type="checkbox" id="customer_know_us" value="實體店面" />
實體店面
<input name="customer_know_us" type="checkbox" id="customer_know_us" value="手機平板APP" />
手機平板APP<br />
    <input name="customer_know_us" type="checkbox" id="customer_know_us" value="入口網站" />
入口網站(Yahoo, Google, PC Home...)
<br />
<input name="customer_know_us" type="checkbox" id="customer_know_us" value="親友介紹" />
親友介紹
<input name="customer_know_us" type="checkbox" id="customer_know_us" value="Facebook" />
Facebook
<input name="customer_know_us" type="checkbox" id="customer_know_us" value="電視廣告" />
    <label for="customer_know_us">電視廣告
      <br />
      <input name="customer_know_us" type="checkbox" id="customer_know_us" value="報章雜誌" />
    報章雜誌
    <input name="customer_know_us" type="checkbox" id="customer_know_us" value="其他" />
    其他
    </label></td>
  </tr>
  <tr>
    <td>習慣閱讀的媒體*</td>
    <td><input name="customer_media" type="checkbox" id="customer_media" value="自由時報" />
    自由時報
    <input name="customer_media" type="checkbox" id="customer_media" value="中國時報" />
    中國時報
    <input name="customer_media" type="checkbox" id="customer_media" value="聯合報" />
    聯合報<br />
    <input name="customer_media" type="checkbox" id="customer_media" value="民生報" />
    民生報
    <input name="customer_media" type="checkbox" id="customer_media" value="國語日報" />
    國語日報
    <input name="customer_media" type="checkbox" id="customer_media" value="立報" />
    立報
    <input name="customer_media" type="checkbox" id="customer_media" value="爽報" />
    爽報
<br />
<input name="customer_media" type="checkbox" id="customer_media" value="天下雜誌" />
    天下雜誌
    <input name="customer_media" type="checkbox" id="customer_media" value="商周月刊" />
    商周月刊
    <input name="customer_media" type="checkbox" id="customer_media" value="讀者文摘" />
    讀者文摘
    <br />
    <input name="customer_media" type="checkbox" id="customer_media" value="PC Home" />
    PC Home
    <input name="customer_media" type="checkbox" id="customer_media" value="Cosmopolitan" />
    Cosmopolitan
    <input name="customer_media" type="checkbox" id="customer_media" value="With" />
    With<br />
<input name="customer_media" type="checkbox" id="customer_media" value="壹週刊" />
    壹週刊    
    <br />
    <input name="customer_media2" type="checkbox" id="customer_media2" value="Yahoo新聞" />
    Yahoo新聞
    <input name="customer_media3" type="checkbox" id="customer_media3" value="Google新聞" />
    Google新聞<br />
    <input name="customer_media4" type="checkbox" id="customer_media4" value="UDN聯合新聞網" />
    UDN聯合新聞網
    <input name="customer_media5" type="checkbox" id="customer_media5" value="NEWnews今日新聞網" />
    NEWnews今日新聞網<br />
    <input name="customer_media6" type="checkbox" id="customer_media6" value="東森電視" />
    東森電視
    <input name="customer_media7" type="checkbox" id="customer_media7" value="TVBS電視" />
    TVBS電視
    <input name="customer_media8" type="checkbox" id="customer_media8" value="三立電視" />
    三立電視<br />
    <input name="customer_media9" type="checkbox" id="customer_media9" value="大愛電視" />
    大愛電視
    <input name="customer_media10" type="checkbox" id="customer_media10" value="中天電視" />
    中天電視
    <input name="customer_media11" type="checkbox" id="customer_media11" value="非凡電視" />
    非凡電視<br />
    <input name="customer_media12" type="checkbox" id="customer_media12" value="民視電視" />
    民視電視
    <input name="customer_media13" type="checkbox" id="customer_media13" value="年代電視" />
    年代電視</td>
    <td>&nbsp;</td>
    <td>休閒與嗜好*</td>
    <td><input name="customer_hobby" type="checkbox" id="customer_hobby" value="閱讀" />
    閱讀
    <input name="customer_hobby" type="checkbox" id="customer_hobby" value="音樂" />
    音樂
    <input name="customer_hobby" type="checkbox" id="customer_hobby" value="影劇" />
    影劇
    <input name="customer_hobby" type="checkbox" id="customer_hobby" value="運動" />
    運動<br />
    <input name="customer_hobby" type="checkbox" id="customer_hobby" value="新聞" />
    新聞
    <input name="customer_hobby" type="checkbox" id="customer_hobby" value="政治" />
    政治
    <input name="customer_hobby" type="checkbox" id="customer_hobby" value="人生" />
    人生
    <input name="customer_hobby" type="checkbox" id="customer_hobby" value="購物" />
    購物<br />
    <input name="customer_hobby" type="checkbox" id="customer_hobby" value="設計" />
    設計
    <input name="customer_hobby" type="checkbox" id="customer_hobby" value="創作" />
    創作
    <input name="customer_hobby" type="checkbox" id="customer_hobby" value="繪畫" />
    繪畫
    <input name="customer_hobby" type="checkbox" id="customer_hobby" value="雕塑" />
    雕塑
<br />
    <input name="customer_hobby" type="checkbox" id="customer_hobby" value="上網" />
    上網
    <input name="customer_hobby" type="checkbox" id="customer_hobby" value="電玩" />
    電玩    
    <input name="customer_hobby" type="checkbox" id="customer_hobby" value="論壇" />
    論壇
    <input name="customer_hobby" type="checkbox" id="customer_hobby" value="Facebook" />
    Facebook<br />
    <input name="customer_hobby" type="checkbox" id="customer_hobby" value="醫藥" />
    醫藥
    <input name="customer_hobby" type="checkbox" id="customer_hobby" value="養生" />
    養生
    <input name="customer_hobby" type="checkbox" id="customer_hobby" value="保健" />
    保健
    <input name="customer_hobby" type="checkbox" id="customer_hobby" value="美體美容" />
    美體美容</td>
  </tr>
  <tr>
    <td>登錄註冊時間*</td>
    <td><input name="customer_createdate" type="text" id="customer_createdate" size="15" /></td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td>最近一次消費時間</td>
    <td><input name="customer_lastpaydate" type="text" id="customer_lastpaydate" size="15" /></td>
    <td>&nbsp;</td>
    <td>最近一次購買商品</td>
    <td><input name="customer_lastpaygoods" type="text" id="customer_lastpaygoods" size="35" /></td>
  </tr>
  <tr>
    <td>最近一次消費金額</td>
    <td><input name="customer_lastpayment" type="text" id="customer_lastpayment" size="15" /></td>
    <td>&nbsp;</td>
    <td>消費累績總金額</td>
    <td><input name="customer_payment_total" type="text" id="customer_payment_total" size="15" /></td>
  </tr>
</table>
<input type="submit" name="add" id="add" value="新增本客戶" />
<input type="reset" name="reset" id="reset" value="清除重填" />
/ 
<input type="submit" name="privacy" id="privacy" value="查看本公司對個人資料保護的承諾約定(自2012.10.01起施行)" />
<hr />
<p>客戶一覽表</p>
<table width="100%" border="1" cellpadding="0" cellspacing="0">
  <tr id="table_label">
    <td width="12%">編輯</td>
    <td width="13%">客戶編號</td>
    <td width="23%">客戶名稱</td>
    <td width="13%">連絡電話</td>
    <td width="12%">行動電話</td>
    <td width="27%">最近一次消費時間</td>
  </tr>
  <tr>
    <td id="table_label"><input type="submit" name="edit" id="edit" value="編輯" />
    <input type="submit" name="delete" id="delete" value="刪除" /></td>
    <td id="table_label">{customer_no}</td>
    <td>{customer_name}</td>
    <td id="table_label">{customer_tel}</td>
    <td id="table_label">{customer_cell}</td>
    <td id="table_label">{customer_lastpaydate}</td>
  </tr>
</table>
</body>
</html>
